Thursday, November 21, 2024
11/21/2024
Centerstone’s Reentry and Recovery (CRR) will expand substance use disorder (SUD) treatment and related recovery/reentry services for an unduplicated 260 unduplicated sentenced adults with SUD and/or co-occurring mental disorders (COD) who have been sentenced to, are serving at least 1 month in, and within 4 months of release from a correctional facility; or who are on probation/parole and at risk of re-incarceration within Lee County, Florida(Yr. 1: 30; Yrs. 2-3: 50; Yrs. 4-5: 65). Focus population demographics are expected to mirror those of the area’s incarcerated population (e.g., 90% male; 40% White, 45% Black/African American, 18% Hispanic/Latino; 15% unemployed; 49% below poverty). An estimated 68% of jail inmates are expected to have SUD and 8.5% of all incarcerated persons, opioid use disorder (OUD), vs 17.3% and 2.1% of the general public, respectively. An estimated 70% of Lee’s jail inmates will not receive drug treatment while incarcerated and less than 10% of supervisees will receive treatment post-release. Of Florida’s state inmates, 2.8% will have HIV, double the national rate (1.2%). CRR’s evidence-based strategies/interventions include SAMHSA’s Guidelines for Successful Transition of People with Mental or Substance Use Disorders from Jail and Prison, TIP 30: Continuity of Offender Treatment for Substance Use Disorders from Institution to Community, and TIP 59: Improving Cultural Competence as guiding frameworks; Living In Balance, Moral Reconation Therapy, TIP 63: Medications for Opioid Use Disorder, MOUD, and DIMENSIONS: Tobacco Free to address SUD/COD; and TASC case management model, SOAR, SAMHSA’s Opioid Overdose Prevention Toolkit, and Mental Health First Aid for reentry/education services and activities. CRR goals include: (1) Implement a comprehensive project to expand access to SUD/COD treatment and reentry services among focus population adults returning to their communities from incarceration; (2) Develop a sound infrastructure and capacity to expand, enhance, and sustain services for focus those returning to their communities from incarceration; (3) Address behavioral health disparities; social determinants of health; and diversity equity, inclusion, and accessibility via evidence-based and best practices; (4) Improve client health status and outcomes via evidence-based, population-appropriate treatment; and (5) Develop, document, and refine a reentry service model to support replication. As a result of these goals, CRR will achieve the following measurable participant-/community-related objectives: educate 1,000 corrections staff and other stakeholders on overdose risk among the focus population, naloxone information/distribution, etc.; outreach to 200 organizations/stakeholders to develop/enhance referral pathways; offer training/workforce development to 50 staff and others (e.g., providers, corrections staff); link 100% in need to certified recovery housing partners; facilitate benefits enrollment for 100% in need; provide 100% of clients in need with resources to identify/secure housing, employment/education, and/or improve treatment access/retention as indicated by Care Plans; improve individual/family functioning and well-being among 70%; increase social connectedness (e.g., feeling supported by friends/family) among 70%; reduce health/behavioral/social consequences (e.g., improved quality of life, mental health symptomatology) of substance use among 75%; reduce mental health symptoms (e.g., depression) among 60% assessed/diagnosed with COD; reduce tobacco/nicotine use (e.g., smoking, vaping) among 50 individuals participating in tobacco/nicotine cessation activities; reduce risky behaviors (e.g., unprotected sex, syringe use) among 60% of participants screened as having and/or at risk for HIV, viral hepatitis, etc.; reduce past 30-day involvement with the criminal justice system (e.g., probation/parole violation) among 60%; and achieve 80% participant follow-up/retention rate.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
